AIDS and behavior · 2021
HIV Infection and Depression Among Opiate Users in a US Epicenter of the Opioid Epidemic.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Denis Cecile M, Dominique Tiffany, Smith Peter, Fiore Danielle, Ku Yi-Chien, Culhane Angus, Dunbar Debora, Brown Dana, Daramay Menvekeh, Voytek Chelsea, Morales Knashawn H, Blank Michael B, Crits-Christoph Paul F, Douglas Steven D, Spitsin Serguei, Frank Ian, Colon-Rivera Krystal, Montaner Luis J, Metzger David S, Evans Dwight L
Аннотация
Using a mobile research facility, we enrolled 141 opioid users from a neighborhood of Philadelphia, an urban epicenter of the opioid epidemic. Nearly all (95.6%) met DSM-5 criteria for severe opioid use disorder. The prevalence of HIV infection (8.5%) was more than seven times that found in the general population of the city. Eight of the HIV-positive participants (67.0%) reported receiving antiretroviral treatment but almost all of them had unsuppressed virus (87.5%). The majority of participants (57.4%) reported symptoms consistent with major depressive disorder. Severe economic distress (60.3%) and homelessness were common (57%). Polysubstance use was nearly universal, 72.1% had experienced multiple overdoses and prior medication for opioid use disorder (MOUD) treatment episodes (79.9%), but few currently engaged in addiction care. The prevalence, multiplicity and severity of chronic health and socioeconomic problems highlight consequences of the current opioid epidemic and underscore the urgent need to develop integrated models of treatment.